Laserfiche WebLink
Underground Storage Tank <br />Spill Container Testing Report Form <br />6 SPILL CONTAINER DETAILS <br />Test Method Developed by ❑ <br />Manufacturer <br />® Industry Standard <br />❑ <br />Professional <br />Engineer <br />Test Type ❑ <br />Pressure <br />❑ Vacuum <br />® <br />Hydrostatic <br />Tank ID <br />91 <br />Spill Container Manufacturer: <br />CNI <br />® Nonmetallic <br />❑ Nonmetallic <br />® Nonmetallic <br />❑ Nonmetallic <br />Method of Cathodic Protection <br />® Other <br />® <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />Is the spill container minimum <br />❑ Yes <br />❑ <br />Yes <br />® <br />Yes <br />❑ <br />Yes <br />capacity five gallons excluding <br />® No* <br />® <br />No* <br />p1 <br />No* <br />❑ <br />No* <br />riser volume? <br />E3 Drain <br />17 <br />Drain <br />❑ <br />Drain <br />❑Drain <br />Method to keep spill container <br />El Pump <br />97 <br />Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />empty <br />❑ Other <br />❑ <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />97 Pass <br />® <br />Pass <br />�'j <br />Pass <br />El <br />Pass <br />Spill Container Test Results <br />® Fail <br />❑ <br />Fail <br />❑ <br />Fail <br />❑ <br />Fail <br />Tank ID <br />Spill Container Manufacturer: <br />® Nonmetallic <br />❑ <br />Nonmetallic <br />❑ <br />Nonmetallic <br />❑ <br />Nonmetallic <br />Method of Cathodic Protection <br />❑ Other <br />❑ <br />Other <br />❑ <br />Other <br />® <br />Other <br />Is the spill container minimum <br />® Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />® <br />Yes <br />capacity five gallons excluding <br />❑ No* <br />® <br />No* <br />❑ <br />No* <br />❑ <br />No* <br />riser volume? <br />® Drain <br />❑ <br />Drain <br />❑ <br />Drain <br />❑ <br />Drain <br />Method to keep spill container <br />® Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />empty <br />❑ Other <br />® <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />® Pass <br />❑ <br />Pass <br />❑ <br />Pass <br />❑ <br />Pass <br />Spill Container Test Results <br />® Fail <br />❑ <br />Fail <br />® <br />Fail <br />❑Fail <br />8. COMMENTS <br />Describe all answers marked "Other," <br />"No," or "Fail' and each proposed remedy. <br />Replaced CNI fill cap on 91, retested and passed. <br />Removed all water from 87 West fill. <br />* Mark here if: <br />❑ Spill containers do not have a minimum capacity of five gallons <br />and <br />require replacement. <br />Additional copies of this page may be attached. <br />Page 2 of 2 <br />